摘要
目的探讨正畸治疗在口腔修复中的临床应用效果及安全性。方法选择2014年8月至2017年9月大同煤矿集团有限责任公司燕子山矿医院口腔科收治的牙列缺损患者80例,采用随机数字表法分为两组,每组40例.对照组直接进行口腔修复治疗.观察组在口腔修复治疗前先进行正畸治疗。比较两组临床疗效、语言功能评分及恢复时间、咀嚼效率及恢复时间、龈沟出血指数、菌斑指数、X线投影测量指标,并比较两组患者的满意度、不良反应发生情况,结果观察组总有效率为97.50%(38/40),高于对照组的85.00%(32/40)(χ^2=3.914,P<0.05)。观察组语言功能评分(8.49±1.56)分、咀嚼效率(83.94±12.66)%,均高于对照组的(7.18±1.45)分、(70.12±13.57)%(t=3.890,5.445,均P<0.05);观察组语言功能恢复时间(17.19±5.41)d,咀嚼效率恢复时间(20.81±4.87)d,均短于对照组的(24.37±7.02)d、(27.54±6.95)d(t=5.124,5.016,均P<0.05)。观察组菌斑指数(1.14±0.36)分、龈沟出血指数(1.96±0.64)分,均低于对照组的(1.51±0.40)分、(2.73±0.87)分(2 4.348、4.509,均P<0.05)。观察组SNA角(71.24±4.98)°、SNB角(72.85±1.07)°,均小于对照组的(76.59±5.40)°、(74.13±1.39)°(t=4.606、4.615,均P<0.05)。观察组患者总满意率为95.00%,髙于对照组的80.00%(χ^2=4.114,P<0.05)。观察组不良反应发生率为2.50%,低于对照组的17.50%(χ^2=5.000,P<0.05)。结论在牙列缺损患者口腔修复前先进行正畸治疗,可有效提高其口腔修复效果,有利于提高患者语言功能和咀嚼效率.改善其牙列情况和颌面畸形情况,使患者更加满意,且安全可靠,不良反应少.
Objective To study the clinical application and safety of orthodontic treatment in oral repair. Methods From August 2014 to September 2017 , eighty patients with dentition defect admitted in the department of stomatology of Yanzishan Mine Hospital of Datong Mining Group co, LTD were selected. By using digital random table method, eighty patients were randomly divided into two groups, with 40 cases in each group. The control group was directly treated with oral repair, and the observation group was given orthodontic treatment before oral repair treatment. The clinical efficacy,speech function score and recovery time,chewing efficiency and recovery time,gingival crevicular bleeding index, plaque index and X - ray projection measurement indicators of the two groups were compared ,and the satisfaction and adverse reactions of the two groups were compared. Results The total effective rate of the observation group was 97. 50%( 38/40), which was higher than that of the control group [ 85. 00%( 32/40 )](χ^2= 3. 914 <0. 05). After treatment,the scores of language function[(8. 49 ± 1.56) points],masticatory efficiency [(83. 94 ± 12. 66)%] in the observation group were significantly higher than those in the control group[(7. 18 ± 1.45 ) points,( 70. 12 ± 13. 57 )%](t = 3. 890,5. 445, all P < 0. 05 ). The recovery time of language function [(17. 19 ±5. 41 )d],and the recovery time of masticatory efficiency [(20. 81 ±4. 87 ) d] in the observation group were shorter than those of the control group[(24. 37 ±7.02)d,(27. 54 ±6. 95)d](t = 5. 124,5. 016,all P <0. 05). After treatment, the plaque index (1.14 ± 0. 36), gingival sulcus bleeding index ( 1.96 ± 0. 64 ) of the observation group were lower than those of the control group [(1.51 土 0. 40),(2. 73 ± 0. 87 )](t= 4. 348,4. 509 , all P <0. 05 ). The SNA angle [(71.24 ± 4. 98)°],the SNB angle [(72. 85 ± 1.07 )°] in the observation group were less than those in the control group [(76. 59 ± 5. 40) ° ,(74. 13 ± 1.39)°](t= 4. 606,4. 615 , all P < 0. 05 ). In ter
作者
丰玉太
Feng Yutai(Department of Stonuitology, Yanzishan Mine Hospital of Datong Mining Group co, LTD, Datong, Shanxi 037037 , China)
出处
《中国基层医药》
CAS
2019年第8期935-938,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
山西省重点研发计划(指南)项目(201603D321054).
关键词
口腔疾病
牙缺失
牙制备
口腔修复
正畸学
矫正
口腔机能恢复
治疗结果
病人满意度
Mouth diseases
Tooth loss
Tooth prepararation, prosthodontic
Orthodontics,corrective
Mouth rehabilitiition
Treatment outcome
Patienl stisfactive
